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Updated: Dec 6, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses

Published on: November 10, 2023

Interregional Transfers for Pandemic Surges.

Kenneth A Michelson¹, Chris A Rees¹, Jayshree Sarathy²

¹Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America

|October 10, 2020

Summary

Interregional patient transfers can effectively address hospital bed shortages during pandemics. This strategy can resolve inpatient and intensive care unit (ICU) bed deficits by moving patients to nearby regions with available capacity.

Keywords:

pandemics COVID-19 disaster planning intensive care units surge capacity

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Last Updated: Dec 6, 2025

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Published on: November 10, 2023

Large-Scale SARS-CoV-2 Testing Utilizing Saliva and Transposition Sample Pooling

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Published on: June 23, 2022

Remote Laboratory Management: Respiratory Virus Diagnostics

Remote Laboratory Management: Respiratory Virus Diagnostics

Published on: April 6, 2019

Area of Science:

Healthcare Management
Public Health Preparedness
Epidemiology

Background:

Regional hospital bed shortages, particularly for inpatient and intensive care unit (ICU) beds, can occur during surges in patient volume.
Pandemics, such as coronavirus disease 2019 (COVID-19), can exacerbate these regional bed capacity issues.

Purpose of the Study:

To determine the potential of interregional patient transfers to alleviate hospital bed shortfalls during a pandemic.
To quantify the effectiveness and logistical requirements of such transfers.

Main Methods:

Utilized COVID-19 case data (February-October 2020) and projected volumes to simulate bed needs.
Employed an algorithm to model interregional transfers to the nearest available beds, minimizing transfer distances.
Scenarios incorporated varying COVID-19 and non-COVID-19 volumes, including worst-case simultaneous peak demands.

Main Results:

National bed shortfalls in worst-case scenarios ranged from 669 to 58,562 inpatient beds and 3,208 to 31,190 ICU beds.
Interregional transfers could resolve bed shortfalls in most worst-case scenarios.
Mean transfer distances varied from 23 to 423 miles, depending on patient type and volume.

Conclusions:

Interregional patient transfers represent a viable strategy to mitigate regional hospital bed shortages during pandemic-related surges.
This approach can help maintain healthcare system capacity and patient access to critical care.